Position Summary:

Acts as a dedicated specialist responsible for leading administrative and operational tasks to facilitate the execution of clinical programs and clinical initiatives, including but not limited to, triaging incoming calls, conducting outreach, managing and maintaining drug lists, and supporting reporting requirements.

Position Responsibilities:

• Work with the Clinical Care pharmacist team to triage incoming clinical programs calls, schedule appointments for consultations and conduct outreaches to prescribers, pharmacies, and members
• Lead administrative and operational tasks to support the implementation of clinical programs, including but not limited to Capital Rx’s pharmacogenomics, MTM (Medication Therapy Management), lower cost alternative solutions, retrospective drug utilization reviews, and other clinical initiatives as needed
• Manage and maintain drug lists to support operations of clinical programs including periodic drug list maintenance, weekly and quarterly list reviews, and ad-hoc updates
• Support reporting requirements, monitor claims, and ensure communication amongst all stakeholders including internal and external partners
• Ensure customer satisfaction, demonstrate genuine compassion and care, and provide professional customer service in a fast paced, startup environment
• Identify, document, and effectively communicate issues to appropriate internal stakeholders ensuring customers receive quality care and resolution meets all health and safety standards
• Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
• Uphold general business needs and operations as required

Minimum Qualifications:

• Active, unrestricted pharmacy technician license
• 2+ years of applicable experience in a clinical pharmacy setting PBM, health plan, or related health care experience
• 1+ year of customer service experience with a passion for building customer loyalty through exceptional listening, relationship building, and strong written and verbal communication
• Ability to balance multiple complex projects simultaneously with minimal direction

Preferred Qualifications:

• Medication Therapy Management (MTM) experience preferred
• Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint
• Experience with Confluence, Jira, Tableau, Salesforce
• Highly detail-oriented and analytical
• Bilingual- Spanish preferred

Base Salary: $55,000-$65,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.